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Non-pharmacological interventions have been researched as well. A meta-analysis on this topic found that non-pharmacological interventions had the most statistically significant outcomes when used complementarily to conventional treatments. Methods involving acupuncture tended to yield the most significant results in the studies analyzed.
Complex or multicomponent interventions use multiple strategies, [5] and they often involve the participation of several types of care providers. [6] Non-pharmacological interventions can call on various fields of expertise, such as surgery, medical devices, rehabilitation, psychotherapy, and behavioral interventions. [6]
CBT-I can be indicated for both primary and secondary insomnia. It primarily focuses on how patients deal with acute insomnia symptoms and how these symptoms are maintained and become chronic. These maintaining factors are often relevant in both primary and secondary insomnia. [16] [non-primary source needed]
An extensive review of the medical literature regarding the management of insomnia and the elderly found that there is considerable evidence of the effectiveness and lasting benefits of non-drug treatments for insomnia in adults of all age groups and that these interventions are underused.
Behavioral sleep medicine (BSM) tries to address insomnia with non-pharmacological treatments. The BSM strategies used to address chronic insomnia include attention to sleep hygiene , stimulus control , behavioral interventions, sleep-restriction therapy , paradoxical intention , patient education, and relaxation therapy . [ 120 ]
Non-pharmacological treatment of insomnia has become an alternative replacement or complement to routine medical care. [7] People can use progressive muscle relaxation as a treatment for some cases of insomnia, particularly chronic insomnia. [7] People use PMR to reduce physical tension and interrupt the racing thoughts processes that affect ...
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